Implante coclear em crianças pós-linguais: resultados funcionais após 10 anos da cirurgia

Abstract

The benefits of cochlear implants (CI) for communication skills are obtained over the years. There are but a few studies regarding the long-term outcomes in postlingual deaf children who grew up using the electronic device. Aim:To assess the functional results in a group of postlingual children, 10 years after using a CI. Methods:Ten postlingual deaf children, implanted before 18 years of age, participated in this study. We assessed: sentence recognition and speech intelligibility. We documented: device use and function and the patient's academic/occupational status. Study design: series. Results:The mean scores were 73% for sentence recognition in silence and 40% in noise. The average write-down intelligibility score was 92% and the average rating-scale intelligibility score was 4.15. There were no cases of device failure. Regarding educational/vocational status, three subjects graduated from the University. Five quit education after completing high school. Eight subjects had a professional activity. Conclusion:This study showed that cochlear implantation is a safe and reliable procedure. The postlingual profoundly hearing-impaired children after 10 years of CI use developed satisfactory levels regarding speech perception and intelligibility, and completed at least high school and were inserted in the labor market. Clinical Trials Registry: NCT01400178. Braz J Otorhinolaryngol. 2012;78(2):103-10. ORIGINAL ARTICLE BJORL

Auditory and language skills of children using hearing aids

“…21,28 According to the literature, the therapeutic process should be started as early as possible, be continuous, and involve the child's family. 3 The results of the present study showed that most children using hearing aids were still waiting for speech therapy or were receiving an inadequate number of sessions. In the state of Minas Gerais, speech rehabilitation of hearingimpaired children should be guaranteed at least twice a week by SASA or by municipalities through decentralized speech therapists.…”

“…Additionally, socioeconomic factors can also influence children's development. 3,36 In this study, most of the children came from families with per capita income below the minimum wage and the level of parental education was low.…”

“…The involvement of the family in the rehabilitation process of children with hearing impairment is essential to achieve good results. 3 Currently, the assessment of the hearing health service quality is directed toward infrastructure (physical facilities, number of professionals, equipment) and monthly procedure productivity, which does not guarantee the assessment of the quality of services provided. The periodic and standardized assessment of the auditory skills and language development in children followed in SASAs must be systematically conducted, aiding treatment planning as a resource to assess the quality of the intervention.…”

“…Any degree of hearing loss can result in significant damage, as it interferes with perception and understanding of speech sounds. 3 In the national scenario, due to the social magnitude of hearing impairment prevalence and its consequences in the Brazilian population, the Ministry of Health 4,5 instituted the Hearing Health Care Services (Serviços de Atenção à Saúde Auditiva ---SASA) which, together with the Neonatal Hearing Screening Program, have as a goal the early diagnosis, intervention, and rehabilitation of individuals with hearing impairment.…”

A Comparative Study on Brain Stem Evoked Response Audiometry among Pre-school Children with Normal and Delayed Development of Speech Attending Bankura Sammilani Medical College

“…Any degree of hearing loss can result in significant damage, as it interferes with perception and understanding of speech sounds. 3 The first years of life are considered critical for child development, as the peak of the central auditory system maturation process occurs during childhood and neuronal plasticity is at its maximum. 4 This makes the early detection of hearing impairment crucial to minimize the damaging impact on the development of language and listening skills, as well as on the learning process caused by hearing loss.…”